Understanding Risks of Dialysis: Can Patients Face Life-Threatening Issues?
Dialysis-related issues (forwarded from the Director's mailbox) Is it possible for dialysis patients to experience life-threatening situations during the dialysis process? I saw news from mainland China where someone died during dialysis, and the doctors there mentioned that...
Dr. Wu Jiyu Reply:
Ms. Weng: Hello, regarding your inquiry, it should be related to the patient's pre-existing conditions. If you have the opportunity to accompany your father to dialysis, you will notice that each individual's situation is different and cannot be compared. If your father...[Read More] Understanding Risks of Dialysis: Can Patients Face Life-Threatening Issues?
Understanding Thyroid Issues: When to Seek Medical Advice
Thyroid issues I have to go back to the hospital for a check-up every six months for my thyroid condition. I take my medication every morning, but recently I've been experiencing severe drowsiness and have been talking a lot, which has led to losing my voice or not being abl...
Dr. Xiao Yongxun Reply:
Hello: It is recommended that you return to the Metabolism Clinic for an examination and treatment by a physician. Thank you![Read More] Understanding Thyroid Issues: When to Seek Medical Advice
Understanding Painful Lumps on the Jaw: Possible Causes and Concerns
There is a small, hard, round lump located on the lower left cheek? Recently, I suddenly noticed a small round hard lump on the lower part of my left cheek near the jaw, and the area around the lump is slightly swollen! It also hurts when I press on it! When I eat, especially whe...
Dr. Xie Rongyuan Reply:
Hello: Based on the symptoms mentioned, it is likely caused by an upper respiratory tract or head and neck infection. It is recommended to visit a hospital for further examination to ensure safety. Thank you for your message![Read More] Understanding Painful Lumps on the Jaw: Possible Causes and Concerns
Understanding Kidney Cysts: Symptoms and When to Seek Help
Renal cysts I have a 1.3 cm cyst on my right kidney as shown by an ultrasound. The doctor said it is due to my constitution and advised me to return for a consultation when I experience kidney pain. However, I have been experiencing brief sharp pains under my right rib cage for t...
Dr. Wang Weijie Reply:
Dear Ms. Huihui: Hello, the kidneys are located on either side of the spine in the lower back. Generally, the symptoms of renal cysts depend on their size (>4 cm) and location. If you have any concerns, I recommend that you follow up with an outpatient examination. Wishing you...[Read More] Understanding Kidney Cysts: Symptoms and When to Seek Help
Can You Have Sjögren's Syndrome with Normal Blood Test Results?
Sjögren's syndrome I have dry eye syndrome and have tested it with strips. I also have splenomegaly, but it hasn't changed in size over the past three years. Recently, I experienced swelling and pain in my salivary glands, but drinking more water alleviated the pain aft...
Dr. Zeng Guosen Reply:
Hello, internet user: The two most important pieces of evidence for diagnosing Sjögren's syndrome are the presence of anti-SSA and anti-SSB antibodies. Additionally, a minor salivary gland biopsy of the oral mucosa can be considered. If either of these two pieces of evidence...[Read More] Can You Have Sjögren's Syndrome with Normal Blood Test Results?
Understanding Urethritis: Symptoms, Treatment, and Kidney Concerns
Urethritis and lower back pain? Hello Doctor: Since last week, I have been experiencing painful urination and frequent urination, so I saw a doctor last Wednesday. The doctor prescribed me two medications: BAKTER (CHEMIX) and PYRIDIUM (UROPYRIN) to take twice a day for five days,...
Dr. Wang Weijie Reply:
Dear Lele, Symptoms of kidney inflammation include pain, anemia, muscle weakness, fatigue, nausea, vomiting, and loss of appetite. The use of medications like BAKTER may have side effects that vary from person to person, potentially causing crystallization and resulting in lower...[Read More] Understanding Urethritis: Symptoms, Treatment, and Kidney Concerns
Understanding Sudden Petechiae on the Arm: Causes and Concerns
Subcutaneous hemorrhage with red spots on the arm? Hello, doctor. This morning, I suddenly noticed petechiae on my left forearm and hand, resembling small pinpricks. There are no similar spots on other parts of my body. I have previously had my platelet count tested several times...
Dr. Gao Jiankai Reply:
Hello, A-Zhe. If there are only small petechiae in a localized area and the platelet count is normal, with no other symptoms present, I believe the likelihood of it being caused by external factors is higher. In principle, sometimes even carrying a heavy backpack can lead to smal...[Read More] Understanding Sudden Petechiae on the Arm: Causes and Concerns
Understanding Neck Masses: When to Seek Medical Evaluation
Neck mass Hello Doctor, I have noticed a lump on the left side of my cervical spine over the past couple of days. Recently, an ENT specialist examined my throat and found no issues. The lump is not very prominent; it feels slightly raised, seems to be immobile, and is not very pa...
Dr. Zeng Guosen Reply:
Dear netizens, lumps in the head and neck region are generally first evaluated by an otolaryngologist. If the nature of the lump cannot be determined, it is recommended to consult a plastic surgeon for further evaluation. Most lumps located at the back of the neck are benign, so ...[Read More] Understanding Neck Masses: When to Seek Medical Evaluation
Understanding Fluctuations in White Blood Cell Counts: Causes and Concerns
Blood test Hello, doctor. I recently had blood tests done on January 23 and January 26, with white blood cell counts of 6200 and 8800, respectively. My white blood cell count has typically been around 6000. Why is there such a significant difference in the results over just two t...
Dr. Gao Jiankai Reply:
Hello, it is possible for the total white blood cell count to fluctuate within a few days. This is because some white blood cells adhere to the blood vessel walls, and when the body experiences stress, a mild cold, or pain, these adhered white blood cells can detach and return to...[Read More] Understanding Fluctuations in White Blood Cell Counts: Causes and Concerns
Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Health Consultation In the morning, my urine is foamy, and it is usually yellow and cloudy. I frequently feel the urge to urinate, have lower back pain, and feel fatigued.
Dr. Wang Weijie Reply:
Dear Aron, In the early stages of kidney disease, there are often no obvious symptoms. However, if you experience the following symptoms, it is crucial to seek medical attention promptly, especially for individuals with hypertension, hyperlipidemia, heart disease, or diabetes. R...[Read More] Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Understanding Impaired Glucose Tolerance: Symptoms and Management
Impaired glucose tolerance Doctor, I seem to have impaired glucose tolerance. My fasting blood sugar is around 80, which is normal, but my postprandial blood sugar sometimes reaches 130, 140, 150, and even up to 166 after two hours. Could this be a sign of impaired glucose tolera...
Dr. Cai Zonglin Reply:
The standard procedure is the Oral Glucose Tolerance Test (OGTT), where a solution containing 75 grams of glucose is consumed. If the blood glucose level is between 140 and 199 mg/dL two hours after drinking, it is classified as impaired glucose tolerance (IGT). Regardless of whe...[Read More] Understanding Impaired Glucose Tolerance: Symptoms and Management
Understanding Sacroiliitis: X-Ray Findings and Clinical Implications
Regarding X-ray issues in sacroiliitis? Hello, Doctor. I have been experiencing chronic lower back pain and suspect it may be ankylosing spondylitis. Recently, I underwent a re-evaluation during my military service. I previously had a negative serum test at National Taiwan Univer...
Dr. Gao Jiankai Reply:
Dear Mr. Lu, Thank you for your message. The diagnosis of ankylosing spondylitis primarily relies on clinical symptoms and imaging studies, while serological tests serve as supplementary references. Therefore, if the symptoms are consistent and imaging shows abnormalities, we ma...[Read More] Understanding Sacroiliitis: X-Ray Findings and Clinical Implications
Understanding Joint Pain: Insights on Juvenile Spondyloarthritis
Joint pain issues Hello, doctor. I just learned about this website today and looked into the content regarding juvenile ankylosing spondylitis. I feel that some aspects resonate with my experience, and I hope you can provide me with some guidance. When I was in the third year o...
Dr. Zeng Guosen Reply:
Hello, based on your description, if you are experiencing joint pain along with swelling in the affected joint, it indicates the presence of a rheumatic disease. Sciatica or bone spurs would not typically cause joint swelling and pain. I recommend that you visit a nearby rheumato...[Read More] Understanding Joint Pain: Insights on Juvenile Spondyloarthritis
Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Diabetes concerns? Hello, Dr. Lee. 1. Why does diabetes cause renal atrophy and uremia? 2. What are the symptoms of uremia?
Dr. Li Zhiyao Reply:
Hello: In response to your two questions: 1. Metabolic factors and hemodynamic changes are the primary causes affecting diabetic nephropathy. The effects of hyperglycemia alter the feedback control of the glomeruli and renal tubules, leading to abnormal glucose metabolic path...[Read More] Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Understanding Mild Hydronephrosis: Should You Be Concerned?
Hydronephrosis issue I am 32 years old and have been experiencing lower back pain due to prolonged sitting. Concerned that it might be a kidney issue, I visited a urologist. However, the doctor indicated that the location and symptoms of my pain are more consistent with a musculo...
Dr. Wang Weijie Reply:
Dear Jenny: Hello, if other kidney function tests (blood and urine tests) are normal, it is recommended to follow up with a kidney ultrasound every six months to a year. If there is persistent severe hydronephrosis, further examinations such as pyelography and computed tomography...[Read More] Understanding Mild Hydronephrosis: Should You Be Concerned?
Understanding Low Triglycerides: Health Impacts and Solutions
Low triglycerides? During our recent health check-up, it was pointed out that our triglyceride levels are low. Could you please explain what effects low triglyceride levels may have on the body? Additionally, how can we address this issue to bring the levels back to normal? Thank...
Dr. Chen Qingbin Reply:
Gloria: Low triglyceride levels may be caused by dietary restrictions or malnutrition. Are you currently on a diet for weight loss? It is advisable to consult a physician for treatment if there are any concerns.[Read More] Understanding Low Triglycerides: Health Impacts and Solutions
Understanding Pain Near the Bladder: Possible Kidney Issues?
Pain occurs when pressure or pulling is applied to both sides of the bladder? Hello Doctor: I recently noticed that if I curl my body or stretch backward, I experience pain on both sides of my bladder, which should be around the kidney area. However, it’s strange because the pain...
Dr. Wu Jiyu Reply:
Dear Kay: 1. Regarding the pain when pressing or pulling on both sides of the bladder, it is important to note that this is not related to the kidneys, as the kidneys are located in the retroperitoneal space. If there were pain, it would be felt in the back, not the front. 2....[Read More] Understanding Pain Near the Bladder: Possible Kidney Issues?
Understanding Left Lower Back Pain: Causes and When to Seek Help
Hello doctor, I am experiencing pain in my left lower back? Hello, Doctor Hsiao. Recently, I have been actively trying to lose weight and visited a traditional Chinese medicine clinic where I was prescribed herbal medicine for weight loss, reducing excessive heat in the body, and...
Dr. Xiao Yongxun Reply:
There are many factors related to the content you mentioned. If you are already committed to a weight loss program at a traditional Chinese medicine clinic, please follow the advice and treatment of your TCM practitioner. If you suspect there may be an underlying medical issue an...[Read More] Understanding Left Lower Back Pain: Causes and When to Seek Help
Managing Multiple Health Issues: Breathing Difficulties and More
Discomfort in multiple areas of the body? Hello Doctor: I have been experiencing a sensation of a foreign body in my throat for six months, and recently I've noticed that my breathing has become increasingly difficult. Occasionally, I also feel chest pain, which becomes more...
Dr. Liao Zhongxin Reply:
Dear readers: 1. If you are experiencing abnormalities in multiple organs, it is advisable to first organize your thoughts by identifying the timing and sequence of each symptom. This will assist the physician in assessing your condition and making a diagnosis and treatment plan....[Read More] Managing Multiple Health Issues: Breathing Difficulties and More
Understanding Abnormal Kidney Function: What You Need to Know
Is there any abnormality in kidney function? Hello, Doctor. Last July, I had a urinalysis that showed hematuria and proteinuria, both positive. In August, I went to another hospital for another urine test, and again, there were reactions for hematuria and proteinuria. After blood...
Dr. Wu Jiyu Reply:
1. First, let's discuss the risk factors for kidney disease: the three highs (hypertension, hyperglycemia, and hyperlipidemia) and proteinuria. Based on the data you provided: Blood Pressure??? Blood Glucose (GLU AC) 89 mg/dL: OK; Lipid Profile Cholesterol 224 mg/dL: borderl...[Read More] Understanding Abnormal Kidney Function: What You Need to Know